STONESPRINGS HOSPITAL CENTER
24440 Stone Springs Boulevard, Dulles, VA · HCA Virginia · · NPI 1972904738
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| X-ray sternoclavicular joint(s) > 3 views CPT 71130 | $928.99 | $928.99 | $39.97 – $182.03 | 4 |
| X-ray sternum > 2 views CPT 71120 | $1,119.79 | $1,119.79 | $36.00 – $182.03 | 4 |
| X-ray surgical specimen CPT 76098 | $906.54 | $906.54 | $56.51 – $1,086.50 | 4 |
| X-ray swallowing function w/ciner/videoradiography neck radiographs(s)&delayed images contrast study CPT 74230 | $1,023.63 | $1,023.63 | $95.04 – $573.10 | 4 |
| X-ray temporomandibular joint open/closed mouth bilateral CPT 70330 | $1,462.11 | $1,462.11 | $43.87 – $239.34 | 4 |
| X-ray thoracic spine 2 views CPT 72070 | $928.99 | $928.99 | $37.32 – $245.18 | 4 |
| X-ray thoracic spine 3 views CPT 72072 | $852.29 | $852.29 | $39.89 – $245.18 | 4 |
| X-ray thoracolumbar spine >=2 views CPT 72080 | $625.94 | $625.94 | $38.68 – $182.03 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 1 view CPT 72081 | $625.94 | $625.94 | $48.75 – $183.09 | 4 |
| X-ray thoracolumbar spine including skull cervical & sacral spine 2-3 views CPT 72082 | $755.76 | $755.76 | $57.83 – $317.99 | 4 |
| X-ray tibia/fibula 2 views (both sides) CPT 73590 | not published | not published | $29.52 – $182.03 | 4 |
| X-ray toe(s) > 2 views (both sides) CPT 73660 | not published | not published | $24.34 – $182.03 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images double contrast CPT 74246 | $1,621.88 | $1,621.88 | $160.56 – $557.76 | 4 |
| X-ray upper gastrointestinal tract scout abdominal radiographs delayed images single contrast study CPT 74240 | $1,346.14 | $1,346.14 | $145.46 – $488.72 | 4 |
| X-ray wrist 2 views (both sides) CPT 73100 | not published | not published | $32.21 – $182.03 | 4 |
| X-ray xm phrnx&/crv esoph c+ CPT 74210 | not published | not published | $104.09 – $401.74 | 4 |
| Xtrnl ecg rec>48hr<7d CPT 93241 | not published | not published | $1,514.64 – $1,514.64 | 1 |
| Xtrnl ecg rec up to 48 hrs CPT 93224 | not published | not published | $42.82 – $689.98 | 3 |
| Xwrap 1 sq cm HCPCS Q4204 | not published | not published | $336.92 – $5,875.83 | 4 |
| Xylose absorption test blood &/or urine CPT 84620 | not published | not published | $9.92 – $67.19 | 15 |
| Xyntha inj HCPCS J7185 | not published | not published | $1.12 – $4.21 | 5 |
| Yersinia antibody CPT 86793 | not published | not published | $10.13 – $50.19 | 15 |
| Yttrium y-90 ibritumomab ther HCPCS A9543 | not published | not published | $62,008.07 – $150,585.06 | 2 |
| Zenith amniotic membrane psc HCPCS Q4253 | not published | not published | $53.63 – $336.92 | 4 |
| Ziconotide injection HCPCS J2278 | not published | not published | $7.27 – $28.01 | 5 |
| Zidovudine in d5w IV syringe 4 mg/ml (neo/peds) - cnr HCPCS J3485 | not published | not published | $1.13 – $4.00 | 5 |
| Zidovudine, oral, 100 mg HCPCS S0104 | not published | not published | $1.41 – $1.41 | 1 |
| Zika virus dna/rna amp probe CPT 87662 | not published | not published | $39.40 – $257.20 | 15 |
| Zika virus igm antibody CPT 86794 | $181.46 | $181.46 | $12.94 – $84.45 | 15 |
| Zinc paste band w >=3"<5"/yd HCPCS A6456 | not published | not published | $1.34 – $1.92 | 12 |
| Ziprasidone 20 mg/ml (final concentration) intramuscular solution HCPCS J3486 | $2,470.93 | $2,470.93 | $3.88 – $24.25 | 5 |
| Ziv-aflibercept 25 mg/ml intravenous solution (wrapper) HCPCS J9400 | not published | not published | $6.23 – $19.13 | 5 |
| Zolbetuximab-clzb 100 mg intravenous solution HCPCS J1326 | not published | not published | $52.24 – $89.23 | 2 |
| Zoledronic acid 4 mg/5 ml intravenous solution HCPCS J3489 | $297.32 | $297.32 | $7.14 – $13.46 | 5 |
| Zoster vaccine-live inj CPT 90736 | not published | not published | $216.75 – $378.84 | 2 |
| Zrsr2 gene common variants CPT 81360 | not published | not published | $193.25 – $735.63 | 13 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.